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1033429592
LISA MELANIE STEWART
BRANDENBURG, KY
NPI
1033429592
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Former Name
LISA MELANIE FAVORS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LSW0000004108)
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
Mrs. LISA MELANIE STEWART
721 SAINT ANDREWS RD
BRANDENBURG, KY 40108-7163
Phone number: 270-998-1057
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Mailing Address
Mrs. LISA MELANIE STEWART
721 SAINT ANDREWS RD
BRANDENBURG, KY 40108-7163
Phone number: 270-998-1057
Copy
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